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Category: Mental Health
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Experience:  Dr. W. D. Nicholas will help you find solutions to life's challenging issues.
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I am suffering from anxiety and depression do to tinnitus from

Customer Question

I am suffering from anxiety and depression do to tinnitus from recent exposure to loud gunshot blasts at a shooting range. Is there any medication to help asap. thanks
Submitted: 3 years ago.
Category: Mental Health
Expert:  Doctor Kevin replied 3 years ago.

Dr.Kappler :

Yes there are medications for the tinnitus as well as the depression. Anxiety medication is another matter. Is Lorazepam the only thing you have tried? Have you seen a psychiatrist as well as your ENT? I will make some suggestions after I hear from you tomorrow morning.

Customer:

I have only seen my primary care MD. at Kaiser and I was surprised that he did not refer me to an ENT or mental health professional. He knew little about Tinnitus but did let me try a starter pack of Nortriptyline. After building up to 30mgs, I stopped cold turkey after 17 days because of very minimal benefit and many side effects. I have had almost no withdrawal symptoms since stopping on 8/5. Lorazapam about once a day helps but sleep is a big problem and I hope that possibly one of the SSRI anti-depressents could help with both problems. I am confident that a well trained psychiatrist could help treat and monitor medications.

Dr.Kappler :

Kaiser ENTs are hard to get a referral for but are your fist step. They have a lot of ner medications and devices to deal with tinnitus. (see the following web link: http://www.kevinhogan.com/tinnitus-cure.htm)I know my wife was an airline hostess for years and suffers from it.


Tinnitus is difficult to treat, partly because doctors often don't know what causes it. If it's caused by a tumor, the tumor can be surgically removed. That's rare, though. Some people use white noise machines to create a background noise that kind of drowns out the roaring in their ears. A type of antidepressant medication called tricyclic antidepressants helps stop or reduce the noise in the ears for some people with tinnitus, but these medications don't work for everyone and they can have unpleasant side effects like drowsiness, nausea, dizziness, weight gain, blurred vision and constipation. Because of the potential side effects, doctors don't prescribe tricyclics for depression too often anymore. There are other drugs that work just as well or better for most people with depression with fewer side effects, but the other drugs don't help with tinnitus. Many people with tinnitus develop anxiety or depression. Some people with the condition only experience ringing in their ears occasionally but some experience it almost constantly and it can go from being a minor annoyance to something that they feel will literally drive them crazy. Many people with the condition also have difficulty sleeping due to the ringing in their ears at night, and lack of sleep can contribute to anxiety and depression. People with tinnitus may begin to feel hopeless if doctors cannot identify the cause of their condition and if treatment doesn't help. If they use tricyclic antidepressants and the drugs do help but have troubling side effects, people may feel anxious and depressed about having to choose between having ringing in their ears or having the side effects from the drugs. Treatment for someone with tinnitus must include treatment for anxiety or depression if he also suffers from those conditions. Psychotherapy may be effective by itself or medication for anxiety or depression may be necessary. If tricyclic antidepressants relieve the symptoms of tinnitus, the same drugs may also help with symptoms of depression. Otherwise, another type of drug may work better for depression. Some people may benefit from medication to help them sleep, as well. Some people with tinnitus also benefit from attending a support group with other people living with the condition.( http://www.dailystrength.org/c/Tinnitus/support-group) They feel less alone and can get tips from others on how to live with the disorder. Support can go a long way toward relieving anxiety and depression but may not be enough by itself. A comprehensive plan works best for most people with anxiety and depression due to tinnitus.


Please remember to click the green accept button because: even though you have made a deposit, I do not get paid for my time unless you press ACCEPT. Feel free to continue the discussion; my goal is to get you the best answers possible. Bonuses are always appreciated! If I can be of further help with any issue, just put "for Dr. Kappler" in the front of your new question, and I'll be the one to answer it. All the best, XXXXX XXXXX

Expert:  AgapeDoc replied 3 years ago.
I see that Dr.Kappler has stepped away. Let me see if I can help here. Thank you for the additional information.

It is my goal to answer your question and exceed your expectations. If you are satisfied with my efforts will you click on the green accept button?

OK.. as you are off line, let me just go ahead and see if I can provide some assistance based on what has been posted up to this point.

You are most certainly on the right path! By the way, I am so sorry that you are having to deal with this, it is certainly challenging. Tinnitus is a problem in and of itself, and it almost always creates additional issues such as you are dealing with - such as the depression, trouble sleeping, anxiety....

However, let me commend you on knowing more about it than many clients I have worked with in my practice. I am sure that you know there is no "cure" for tinnitus, but as you have asserted, there are some medications that can help deal with the it as well as the other challenges it "brings with it" if you will.

Now, here is the answer.... You are right to contact this site and take control of your own health - in this day and age, we all must be the managers of our own health and our own biggest advocate. I'm not here to throw stones at your primary care MD, but as I said we all need to be our own advocate. So.......

.... You are right to seek out the help of a psychiatrist and I think that will be a huge help. Additionally, in my experience those with tinnitus benefit greatly from working with a psychotherapist to deal with the anxiety, depression, sleep, and similar issues - I CAN NOT OVERSTATE HOW IMPORTANT THIS IS :).

The last thing I will offer as an added bonus is to find a doctoral level audiologist. I have discovered over the years that they are a valuable member of a team that helps deal with this issue.

How am I doing?

Thanks again for contacting Just Answer. Tinnitus is more common than many people realize and it is challenging because there is no cure - BUT THERE IS HOPE AND TREATMENT :) that can make this VERY manageable for those that take charge of their issue - and it's apparent that you are one of those people.

If my efforts are satisfactory to you, please don't forget to click on the green accept button so I can get credit for my work. I wish you all the best :)



JJ
AgapeDoc, Psychologist
Category: Mental Health
Satisfied Customers: 197
Experience: Dr. W. D. Nicholas will help you find solutions to life's challenging issues.
AgapeDoc and 3 other Mental Health Specialists are ready to help you
Expert:  AgapeDoc replied 3 years ago.
I hope you are on your way to feeling better :)
Expert:  Doctor Kevin replied 3 years ago.
I was just wondering why you did not accept my answer so I could get paid? Is there anything else I could do for you?

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